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HCPCS Level II Update: Make Room for New Monoclonal Antibody Codes

19. September 2019

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The Oct. 1, 2019, update for HCPCS Level II codes is bringing more than 50 changes for J and Q codes, and several of them are for monoclonal antibodies. We’ve already covered updates to trastuzumab coding; now let’s look at some more changes effective soon. J0593: Add Code for Angioedema Treatment Read the full descriptor […]

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Part 3: Master Medicine Code Updates for CPT® 2020

16. September 2019

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A lot of specialties will find relevant updates in the Medicine section of CPT® 2020, and we’ve pulled together the can’t-miss news for you here. Tip: If you report EEG, you will certainly want to read on. Don’t forget: You’ll find the E/M and Surgery section updates in Part 1 and the Radiology and Path/Lab […]

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Part 2: Know What’s New in CPT® 2020 for Radiology and Path/Lab

12. September 2019

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You’ve gotten a glimpse at the new E/M and Surgery codes in Part 1 of our CPT® 2020 series. Now let’s dive in to the updates for the Radiology section and the Pathology and Laboratory section. Focus on 4 Areas for Radiology Updates Abdomen X-rays, GI imaging, myocardial imaging, and radiopharmaceutical tumor localization are the […]

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Part 1: Prepare for CPT® 2020 for E/M and Surgery Codes

9. September 2019

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The 2020 CPT® code set includes 394 code changes, with 248 new codes, 71 deletions, and 75 revisions, according to the AMA. Let’s start learning those changes by going over what’s new in Category I for E/M and Surgery section codes. Expect Remote and Online to Dominate E/M Changes You probably know there will be […]

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Top 10 ICD-10-CM Official Guideline Updates for 2020

19. August 2019

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The FY2020 ICD-10-CM Official Guidelines for Coding and Reporting (OGs) are available now so you can prepare for the 2020 diagnosis code changes and rule changes at the same time. Some revisions involved adding a missing word that was already obvious from context, so we won’t cover every change here. But this overview will give […]

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Add These AUC-Related Modifiers to Your Imaging Claims in 2020

12. August 2019

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At the end of July, Medicare released a set of modifiers that you need to know if you’re involved in ordering or coding for imaging. The modifiers, effective Jan. 1, 2020, are part of Medicare’s changes related to Appropriate Use Criteria (AUC) for advanced diagnostic imaging services. Check out the AUC-related modifiers below and then […]

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Urology: Prevent Claim Problems by Applying New BCG Code

8. August 2019

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Urology coders who report BCG had an important code update July 1, 2019. Make sure you’ve made this important code swap and understand the new rules for accurate reporting of this bacteria-based immunotherapy. Replace J9031 With J9030 for BCG One use of Bacillus Calmette-Guérin, more commonly known as BCG, is bladder cancer treatment. The provider […]

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MPFS 2020 Proposed Rule: E/M Blended Payment for 2021 Is Dead

5. August 2019

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Another day, another change to E/M plans for 2021! Medicare has released the 2020 proposed rule for the Medicare Physician Fee Schedule (MPFS), bringing in the recent AMA plan to revise E/M coding in 2021. But what does the MPFS say about Medicare payment for office/outpatient visits in 2021? Here’s the scoop. Know What to […]

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Reporting Trastuzumab? Here Are All the Codes You Need to Know

25. July 2019

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Trastuzumab HCPCS codes have been multiplying lately. The July 2019 HCPCS updates brought five changes. And there are two more planned for Oct. 1, 2019, implementation. Make sure your coding for this monoclonal antibody is up to date with these tips. Know the Trastuzumab Codes You Have Right Now Oncology coders need to know about […]

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Get a Sneak Peek at CPT® 2020 Additions, Deletions, and Revisions

23. July 2019

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With all the excitement about Medicare and AMA plans for E/M in 2021, don’t forget that the CPT® code set will have changes in 2020, too. The official code set will be out soon, but, in the meantime, here are some hints from the AMA about the changes you’ll have to know for Jan. 1. […]

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